MS. ELLICENE R PHILLIPS ARNP
NPI 1912102492
Nurse Practitioner - Family in Miami Shores, FL

Q: What is Ellicene Phillips's NPI number?

The NPI number for Ellicene Phillips is 1912102492. It was assigned to this individual provider in the NPPES registry on June 15, 2007. The provider is also known as Ms. Ellicene Roundtree Phillips.

Q: What is Ellicene Phillips's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Ellicene Phillips was last updated on June 16, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since June 15, 2007

2000 TOWERSIDE TER # 1410 # T2, MIAMI SHORES, FL 33138(786) 390-8579 Get Directions Write a Review

NPPES record last updated: June 16, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Ms. Ellicene R Phillips Arnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MS. ELLICENE R PHILLIPS ARNP (NPI 1912102492) is an individual family provider in Miami Shores, Florida, licensed in Florida (446112) and active in the NPI registry since June 2007.

NPPES Registry Identity

NPI1912102492

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameMS. ELLICENE R PHILLIPSCredential: ARNP

Location Address2000 TOWERSIDE TER # 1410 # T2Miami Shores, FL 33138-2244

Mailing Address2000 Towerside Ter # 1410 # T2Miami Shores, FL 33138-2244 · (786) 390-8579

Phone(786) 390-8579

Sole ProprietorYes

Enumeration DateJune 15, 2007

Last NPPES UpdateJune 16, 2014

✔ NPI 1912102492 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in FL · 446112

Also ListedDurable Medical Equipment & Medical SuppliesTaxonomy 332B00000X

2000 TOWERSIDE TER # 1410 # T2, Miami Shores, FL 33138

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Other Names 1

Former Name (1)Ms. Ellicene Roundtree Phillips

Other Identifiers 2

Medicare ID-Type Unspecified000K0136FL · #94312c

Medicaid30231760FL

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ellicene Phillips's NPI number?

The NPI number for Ellicene Phillips is 1912102492. It was assigned to this individual provider in the NPPES registry on June 15, 2007. The provider is also known as Ms. Ellicene Roundtree Phillips.

Where is Ellicene Phillips located?

Ellicene Phillips practices at 2000 Towerside Ter # 1410 # T2, Miami Shores, FL 33138. The listed phone number is (786) 390-8579.

What is Ellicene Phillips's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Ellicene Phillips was last updated on June 16, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.